| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $3,162.28 | $6,456.54 | $14,791.08 | |
Cigna
| Facility | $912.01 | $912.01 | $912.01 | |
Medica
| Facility | $1,819.70 | $2,630.27 | $6,760.83 | |
United
| Facility | $2,818.38 | $6,606.93 | $10,715.19 |